A study to assess vaccine wastage in an immunization clinic of tertiary care centre, Gwalior, Madhya Pradesh, India

Background: Vaccines are one of the most successful and cost-effective health intervention. It becomes imperative that use of vaccine was done through a proper framework of practical decision-making that confers positive health and economic benefits to the society of which Vaccine Wastage was a key factor. The aim of the study is to assess “Vaccine Wastage Rate” and “Wastage Factor” of different vaccines given to beneficiaries in Immunization Clinic and based on the above data, recommend measures to reduce it in the Immunization clinic  Methods: The present study was a Record Based Retrospective study carried out in Immunization Clinic in Madhav Dispensary of tertiary center at Gajra Raja Medical College, Gwalior, Madhya Pradesh, India. The data was collected from 1 April 2015 - 31 March 2016.Results: Immunization Sessions were conducted in Immunization clinic during reference period and 7 vaccines BCG, OPV, DPT, Hepatitis B, pentavalent, measles and TT were given. Among individual vaccines, wastage rate and wastage factor in BCG (20.71 and 1.26), OPV (14.65 and 1.17), DPT (15.6 and 1.18), Hepatitis B (10.56 and 1.12), Pentavalent (5.2 and 1.05), Measles (21.68 and 1.28), TT (7.09 and 1.08), and IPV (10.49 and 1.12) was respectively.Conclusions: Vaccine wastage could be expected in all programmes and there should be an acceptable limit of wastage. Innovative techniques to be developed not only to reduce wastage but also the operational cost for convenience of children who were to be vaccinated and parents who bring their children for vaccination without compromising coverage.

A study to assess prevalence of obesity among government employees of medical college in Madhya Pradesh, India

Background: Obesity has become a major chronic disorder affecting the larger population more than any other disease in the world. Objective was to determine the prevalence of obesity among the government employees of G.R. Medical College, Gwalior.Methods: The present study has been undertaken among government employees of G.R. Medical College, Gwalior in which all the employees were interviewed by a predesigned, pre-tested and pre-validated structured Questionnaire. Anthropometric data regarding weight and height was taken. The data was collected and analyzed using statistical software and chi square and other statistical tests were applied.Results: The study shows that among total 215 employees. 35 (21.21%) males and 21 (42%) females were found overweight and obese with the criteria of BMI more than 25 kg/m2.Conclusions: It was concluded from the present study that obesity is a chronic illness. Early detection and appropriate intervention could prevent various complications associated with it. BMI plays a crucial role

A study to assess body mass index and pattern of physical activity among the government employees working at different organizations of Gwalior city

Background: The obesity can be defined simply as the disease in which excess body fat has accumulated to such an extent that health may be adversely affected. Physical activity is a key determinant of energy expenditure, and thus is fundamental to energy balance and weight control. Aims and objectives was to assess the BMI and physical activity among government employees working in different organizations of Gwalior city.Methods: The present study was a cross sectional study. Five different government organizations were selected and from each organization 60 participants were selected randomly. A pre-designed, pre-tested, semi-structured interview based questionnaire was used for data collection from different participants. WHO BMI classification was used to classify participants.Results: In the present study 44% of the study participants were overweight/ pre-obese while 8.33% and 1.33% were in Obese Class I and Obese Class II respectively. 40.67% were doing physical exercise. The most common type of physical exercise was walking or jogging 72.13%.Conclusions: It was concluded that despite the known fact that obesity could have negative impact on the work capacity and physical fitness, only 40.67% were doing some physical exercise. Employees should be motivated to do daily exercise for the duration of at least 30 minutes

A study to assess awareness regarding eye donation among post graduate medical students admitted through NEET pre PG 2014 of Gajra Raja medical college Gwalior, M.P., India

Background: According to WHO estimates India has 10 million blind populations. Corneal problems cause a significant proportion of blindness in India. Although effective strategies to prevent corneal blindness are likely to be more cost effective, visual rehabilitation by corneal transplantation remains the major treatment for restoring sight in those who already have corneal blindness. The requirement of donor corneas per year is at least 20 times the current procurement. Objective: To assess the knowledge and attitude of post graduate medical students regarding eye donation and their willingness to pledge eyes for donation.Methods: The present study was a cross sectional study conducted using a pretested questionnaire on 116 Post graduate Medical Students but only 106 actually participated in the study.Results: A total of 106 students actually participated in the study. Among them 63 (59.43%) were males and 43 (40.57%) were females. The maximum percentages of the students were of age group 26-29 years. All the students were aware regarding eye donation but still they felt it was necessary to obtain consent from family members.Conclusion: These data showed that although the awareness is good but still there is imperative need to emphasize to evade myths concerning eye donation to promote eye donation.

A study of the Mental health assessment among COVID 19 patients: A hospital based study

Background: People's mental health has been impacted by the novel corona virus COVID 19. According to studies, a significant percentage of people who have recovered from the infection have mental health problems. The research was carried out on people who had recovered from COVID 19 in the previous year. Participants were contacted a month after being discharged from the hospital and encouraged to complete a questionnaire that included the DASS and IES scales. Anxiety, depression, stress, and post-traumatic stress disorder were all examined in the results (PTSD). Those with scores that indicated severe levels were encouraged to see a psychiatrist for proper treatment and therapy. The results of the DASS revealed that 2.5 percent of the participants had scores indicative of severe stress, 25.3 percent had scores indicative of severe anxiety, and 7.3 percent had scores indicative of severe depression. According to the results of the IES, 15.1 percent of the participants said the event had a significant impact on their mental health, and 17.2 percent of the participants had scores that indicated the presence of post-traumatic stress disorder symptoms. There is a strong link between IES scores and the severity of lung involvement.&nbsp

Meningioma and cavernous angioma following childhood radiotherapy

Prophylactic cranial irradiation has been a part of multimodality management of acute lymphoblastic leukemia (ALL). With optimum treatment and the resultant long-term cure rates, long-term side effects of radiation including radiation-induced neoplasms have been increasingly unearthed. We report a rare case of development of both a meningioma and a cavernous angioma following prophylactic cranial irradiation as a part of treatment of ALL. Regular follow-up and high index of suspicion for late radiation sequelae after treatment are therefore justifiable in leukemia survivors with history of prophylactic cranial irradiation

A study to assess prevalence of obesity among government employees of medical college in Madhya Pradesh, India

Background: Obesity has become a major chronic disorder affecting the larger population more than any other disease in the world. Objective was to determine the prevalence of obesity among the government employees of G.R. Medical College, Gwalior.Methods: The present study has been undertaken among government employees of G.R. Medical College, Gwalior in which all the employees were interviewed by a predesigned, pre-tested and pre-validated structured Questionnaire. Anthropometric data regarding weight and height was taken. The data was collected and analyzed using statistical software and chi square and other statistical tests were applied.Results: The study shows that among total 215 employees. 35 (21.21%) males and 21 (42%) females were found overweight and obese with the criteria of BMI more than 25 kg/m2.Conclusions: It was concluded from the present study that obesity is a chronic illness. Early detection and appropriate intervention could prevent various complications associated with it. BMI plays a crucial role

Meningioma and cavernous angioma following childhood radiotherapy

Prophylactic cranial irradiation has been a part of multimodality management of acute lymphoblastic leukemia (ALL). With optimum treatment and the resultant long-term cure rates, long-term side effects of radiation including radiation-induced neoplasms have been increasingly unearthed. We report a rare case of development of both a meningioma and a cavernous angioma following prophylactic cranial irradiation as a part of treatment of ALL. Regular follow-up and high index of suspicion for late radiation sequelae after treatment are therefore justifiable in leukemia survivors with history of prophylactic cranial irradiation